# Agentic LLM Workflows for Generating Patient-Friendly Medical Reports

arXiv: https://arxiv.org/abs/2408.01112 · HTML: https://mlsanity.com/paper/2408.01112/

## Key facts

- Cited by 13 papers in the map (data through 14 Oct 2026).
- Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use.
- Builds on 4 of its 32 references that are in the map.
- First posted on arXiv 2 Aug 2024.

## Placed in

- LLM agents and tool use / [Medical and scientific domain agents](https://mlsanity.com/agents/medical-and-scientific-domain-agents/)

## Builds on (most cited first, 4 of 4)

- [Reflexion: Language Agents with Verbal Reinforcement Learning](https://mlsanity.com/paper/2303.11366/) (2023)
- [Hallucination is Inevitable: An Innate Limitation of Large Language Models](https://mlsanity.com/paper/2401.11817/) (2024)
- [(Perhaps) Beyond Human Translation: Harnessing Multi-Agent Collaboration for Translating Ultra-Long Literary Texts](https://mlsanity.com/paper/2405.11804/) (2024)
- [QUB-Cirdan at "Discharge Me!": Zero shot discharge letter generation by open-source LLM](https://mlsanity.com/paper/2406.00041/) (2024)

## Built on by (most cited first, 13 of 13)

- [Agentic Large Language Models, a survey](https://mlsanity.com/paper/2503.23037/) (2025)
- [A Survey of LLM-based Agents in Medicine: How far are we from Baymax?](https://mlsanity.com/paper/2502.11211/) (2025)
- [Generative to Agentic AI: Survey, Conceptualization, and Challenges](https://mlsanity.com/paper/2504.18875/) (2025)
- [Agentic AI Systems Applied to tasks in Financial Services: Modeling and model risk management crews](https://mlsanity.com/paper/2502.05439/) (2025)
- [MedSentry: Understanding and Mitigating Safety Risks in Medical LLM Multi-Agent Systems](https://mlsanity.com/paper/2505.20824/) (2025)
- [Towards a HIPAA Compliant Agentic AI System in Healthcare](https://mlsanity.com/paper/2504.17669/) (2025)
- [From Intention To Implementation: Automating Biomedical Research via LLMs](https://mlsanity.com/paper/2412.09429/) (2024)
- [Autonomous Radiotherapy Treatment Planning Using DOLA: A Privacy-Preserving, LLM-Based Optimization Agent](https://mlsanity.com/paper/2503.17553/) (2025)
- [FALCON: Transforming Cyber Threat Intelligence into Deployable IDS Rules with Self-Reflection](https://mlsanity.com/paper/2508.18684/) (2025)
- [SleepCoT: A Lightweight Personalized Sleep Health Model via Chain-of-Thought Distillation](https://mlsanity.com/paper/2410.16924/) (2024)
- [Agentic AI in Healthcare & Medicine: A Seven-Dimensional Taxonomy for Empirical Evaluation of LLM-based Agents](https://mlsanity.com/paper/2602.04813/) (2026)
- [COCORELI: Enforcing Execution Preconditions for Reliable Collaborative Instruction Following](https://mlsanity.com/paper/2509.04470/) (2025)
- [An Agentic Framework Using Rules and LLMs for Embedding and Annotating Descriptive Document Layouts: A Plant Science Use Case](https://mlsanity.com/paper/2608.14587/) (2026)

## Abstract (arXiv)

The application of Large Language Models (LLMs) in healthcare is expanding rapidly, with one potential use case being the translation of formal medical reports into patient-legible equivalents. Currently, LLM outputs often need to be edited and evaluated by a human to ensure both factual accuracy and comprehensibility, and this is true for the above use case. We aim to minimize this step by proposing an agentic workflow with the Reflexion framework, which uses iterative self-reflection to correct outputs from an LLM. This pipeline was tested and compared to zero-shot prompting on 16 randomized radiology reports. In our multi-agent approach, reports had an accuracy rate of 94.94% when looking at verification of ICD-10 codes, compared to zero-shot prompted reports, which had an accuracy rate of 68.23%. Additionally, 81.25% of the final reflected reports required no corrections for accuracy or readability, while only 25% of zero-shot prompted reports met these criteria without needing modifications. These results indicate that our approach presents a feasible method for communicating clinical findings to patients in a quick, efficient and coherent manner whilst also retaining medical accuracy. The codebase is available for viewing at http://github.com/malavikhasudarshan/Multi-Agent-Patient-Letter-Generation.